Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Unit Location Guidance Notes
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A smoke alarm should be equipped on each story of the premises in which there is a room used wholly or partly used as living accommodation.
A Carbon Monoxide Detector should be equipped in any room of the premises which is wholly or partly used as living accommodation and contains a solid fuel combustible appliance..
Property Type
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This section details information about the property being assessed.
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Property Type
- Multi Storey House
- Flat
- Bungalow
- Mobile Home
- Multi Storey House - Multi Occupancy
- Detached House
- Semi Detached House
- End of Terrace House
- House of Multiple Occupancy
- Terrace
Smoke Alarm Installation Type
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What type of detection system is installed at the property
- Battery Operated (9v)
- Hard Wired (Mains)
- Hard Wired with Battery Backup
- Mixed
- Battery Operated (lithium type)
- N/A
Smoke Alarm 1
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Smoke alarm location
- Hallway
- Landing
- Living Room
- Bedroom
- Kitchen
- Other
- Roof Space
- Garage
- N/A
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Is the location satisfactory?
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Type of smoke alarm
- Battery Operated (9v)
- Hard Wired (Mains)
- Hard Wired with Battery Backup
- Mixed
- Battery Operated (lithium type)
- N/A
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Is the alarm operating correctly?
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Image of alarm
Smoke Alarm 2
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Smoke alarm location
- Hallway
- Landing
- Living Room
- Bedroom
- Kitchen
- Other
- Roof Space
- Garage
- N/A
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Is the location satisfactory?
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Type of smoke alarm?
- Battery Operated (9v)
- Hard Wired (Mains)
- Hard Wired with Battery Backup
- Mixed
- Battery Operated (lithium type)
- N/A
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Is the alarm operating correctly?
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Image of alarm
Smoke Alarm 3
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Smoke alarm location
- Hallway
- Landing
- Living Room
- Bedroom
- Kitchen
- Other
- Roof Space
- Garage
- N/A
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Is the location satisfactory?
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Type of smoke alarm
- Battery Operated (9v)
- Hard Wired (Mains)
- Hard Wired with Battery Backup
- Mixed
- Battery Operated (lithium type)
- N/A
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Is the alarm operating correctly?
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Image of alarm
Important Information Regarding Mains Powered Smoke Alarms
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Mains powered smoke alarms have not been tested. We recommend that these type of alarms are tested on a regular basis by a suitably qualified person or organisation.
Carbon Monoxide Detector Installation Type
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What type of detection system is installed at the property?
- Battery Operated (9v)
- Hard Wired (Mains)
- Hard Wired with Battery Backup
- Mixed
- Battery Operated (lithium type)
- N/A
Carbon Monoxide Detector 1
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Carbon monoxide detector location
- Hallway
- Landing
- Living Room
- Bedroom
- Kitchen
- Other
- Roof Space
- Garage
- N/A
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Is the location satisfactory?
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Type of detector
- Battery Operated (9v)
- Hard Wired (Mains)
- Hard Wired with Battery Backup
- Mixed
- Battery Operated (lithium type)
- N/A
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Is the detector operating correctly?
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Image of detector
Carbon Monoxide Detector 2
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Carbon monoxide detector location
- Hallway
- Landing
- Living Room
- Bedroom
- Kitchen
- Other
- Roof Space
- Garage
- N/A
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Is the location satisfactory?
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Type of detector
- Battery Operated (9v)
- Hard Wired (Mains)
- Hard Wired with Battery Backup
- Mixed
- Battery Operated (lithium type)
- N/A
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Is the detector operating correctly?
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Image of detector
Installation Of New/Replacement Smoke Alarms and Carbon Monoxide Dectectors
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The below sections details how many smoke alarms and carbon monoxide detectors have been installed by the assessor whilst at the property in order to satisfy current regulations. The alarms and detectors will be installed to the most suitable location in order to provide the best possible protection.
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Quantity of new/replacement smoke alarms installed?
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Quantity of new/replacement Carbon Monoxide detectors installed?
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